Active NPI
Karen L. Eastman, PH.D.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1871718080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY16288
- Practice address
- 1314 Westwood Blvd
Suite 206
Los Angeles, CA 90024-4928 - Phone
- (310) 567-4487
- NPI assigned
- Apr 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY16288 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY16288 | CA |
Addresses
Primary practice location
1314 Westwood Blvd
Suite 206
Los Angeles, CA 90024-4928
Mailing address
1314 Westwood Blvd
206
Los Angeles, CA 90024-4928
Phone (310) 567-4487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16288 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1871718080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 WESTWOOD BLVD",
"address_2": "206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244928",
"telephone_number": "310-567-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 WESTWOOD BLVD",
"address_2": "SUITE 206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244928",
"telephone_number": "310-567-4487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTMAN",
"first_name": "KAREN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-14",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY16288",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY16288",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.